腹腔镜手术与开腹手术治疗泌尿系肿瘤的临床疗效观察

摘要

目的：探讨腹腔镜手术与常规开腹手术对泌尿系统肿瘤患者的治疗效果情况。方法选取2013年6月～2014年12月我院泌尿外科收治的150例泌尿系肿瘤患者，随机分为试验组和对照组，试验组行腹腔镜手术，对照组行常规开腹手术，观察记录两组患者的各项指标，包括手术时间（h）、手术中出血量(ml)、住院时长(d)以及术中、术后引起的并发症发生率，并进行随访。应用SPSS19.0统计分析数据。结果试验组患者的手术时间（h）、术中出血量（ml）和住院时长(d)明显低于对照组，差异具有统计学意义(P＜0.01)。试验组患者术后并发症发生率(33.3％)明显低于对照组(66.7％)，两组相比，差异具有统计学意义(P＜0.01)。术后2年生存率试验组(86.67％)高于对照组(69.33％)，差异具有统计学意义(P＜0.05)。结论腹腔镜手术在针对泌尿系肿瘤治疗时，较常规性开腹手术在有效性和稳定性方面具有明显的优势。%Objective To investigate the conventional laparoscopic operation and open operation on the patients of urinary system tumor treatment effect. Methods From 2013 June to 2014 Decem-ber 150 cases of urinary tract tumor patients in the Department of Urology in our hospital, were randomly divided into experimental group and control group, experimental group underwent laparo-scopic operation, the control group underwent conventional open operation,observe and record the indicators of the two groups, including operation time (H), the amount of bleeding in operation (ML), length of stay(d) and the incidence caused by intraoperative,postoperative complications, and follow-up. Application of SPSS19.0 statistical analysis data. Results The operation time of pa-tients in experimental group (H), bleeding (ML) and length of stay(d) was significantly lower than the control group, the difference was statistically significant (P<0.01). The experimental group pa-tients with postoperative complication rate (33.3%) was significantly lower than the control group (66.7%), compared to the two groups, the difference was statistically significant (P<0.01). After 2 years of survival rate in experimental group (86.67%) was higher than the control group (69.33%), the difference was statistically significant(P<0.05). Conclusion laparoscopic operation in the treat-ment of urologic cancers, compared with conventional open operation has obvious advantages in effectiveness and stability.